Book & Pay for journeys

You can request journeys online using the form below.
We will call you back to confirm details / whether we can provide this journey [THIS NEEDS EDITING I JUST MADE IT UP]

Or – Skip to Payment Form

Request a journey

Phone

This field is for validation purposes and should be left unchanged.

Your name

Phone no. to call back on(Required)

Email address(Required)

Passenger 1(Required)

Carer?

Yes

No

Passenger 2

Carer?

Yes

No

Notes

Travelling with:

Wheelchair

Walker

Travel date(s) requested(Required)

Reason for travel(Required)

Requested pickup time

OR appointment time

Amount of time before return

OR requested return time

Pickup address(Required)

Destination address(Required)

Request Journey

Paying for your Journeys

We send out an invoice to all members who have travelled, at the end of each calendar month. You can choose to receive these by email, and pay online via a link in the email.

You can pay via cheque, or phone us to pay over the phone between 9.30am and 1pm. Or you can pay via the form below, making sure you add the invoice number so that we can match your payment to your account.

Pay Your Invoice

LinkedIn

This field is for validation purposes and should be left unchanged.

Your name(Required)

Invoice number(Required)

Email(Required)

Notes (optional)

Payment amount GBP(Required)

Optional donation amount

Total

Payment Method

Configuration Required: To use the PayPal Checkout field, please configure your PayPal Checkout Settings.

Pay Invoice